Individual provider Active NPI

Amanda Ellen Howard, PTA

  • Physical Therapy Assistant
  • Lynnwood, WA
National Provider Identifier
1871073924
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P16082947 Issued in WA
Practice address
20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709
Phone
(877) 497-1863
NPI assigned
Aug 17, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P16082947 WA Primary

Addresses

Primary practice location

20818 44TH Ave W Ste 270
Lynnwood, WA 98036-7709

Mailing address

3824 Fremont LN N Apt 1
Seattle, WA 98103-2724
Phone (206) 412-4290

Other practice location 1

710 NW Juniper St Ste 104
Issaquah, WA 98027-2717
Phone (425) 392-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P16082947WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Pediatric Rehab Services LLC Past Accepting new patients
Northwest Pediatric Therapies, PS Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1871073924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 FREMONT LN N APT 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981032724",
            "telephone_number": "206-412-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 44TH AVE W STE 270",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367709",
            "telephone_number": "877-497-1863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 NW Juniper St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272717",
            "country_code": "US",
            "telephone_number": "425-392-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P16082947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.